MEDICARE: CHERYLE WEBB MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	35-046142	OH

General Provider Information

NPI Number	:	1891839197
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHERYLE WEBB MD

Provider Business Mailing Address
First Line	:	3131 HARVEY AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45229-3000
Country	:	US
Telephone Number	:	513-579-8811
Fax Number	:

Provider Business Practice Location Address
First Line	:	3131 HARVEY AVE
Second Line	:	STE 201
City	:	CINCINNATI
State	:	OH
Zip	:	45229-3000
Country	:	US
Telephone Number	:	513-579-8811
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/19/2007
Last Update Date	:	07/08/2007

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